Optima Education are proud to present

CTO Fundamentals Live! 2017

Royal College of Physicians, London 8th-9th June 2017



Two Days


One Day
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CTO Fundamentals Live is a 2-day live case meeting featuring some of the world's best CTO experts. Hosted in the Royal College of Physicians in London, it will feature 8 live cases transmitted from King's College London, a selection of didactic lectures and 'hands-on' opportunities.

The below is a provisional programme and subject to change.

Day 1

09:00 -
09:00 - 09:25
Introduction & Case Presentation (King's College London)

Live case co-ordinator.

09:25 - 10:05
Angiographic assessment: The key to selecting the correct initial strategy
09:45 - 10:05
Patient selection: Ischaemia, symptoms, viability?
10:05 - 10:15
CTO - physiological considerations
11:30 - 11:45
Coffee break & breakout rooms
10:15 - 11:30
Live cases - King's College London
11:45 - 11:45
11:45 - 12:00
Renal failure / access site complications / radiation
13:15 - 13:35
Patient selection: symptoms, ischaemia or viability? - Elliott Smith
12:10 - 12:20
Starting a CTO program
12:20 - 12:40
The role of intravascular imaging: Index procedure
12:40 - 13:30
Lunch & breakout sessions
13:30 -
13:30 - 13:45
Case presentation (King's College London)

Review of cases 1 & 2 with index operators

13:45 - 15:30
Live cases - King's College London
15:30 - 15:45
Collateral channel crossing: A comprehensive risk assessmenttool
15:45 - 16:00
Proximal cap crossing
16:00 - 16:15
Ostial occlusions: How to manage
16:15 - 16:50
Difficult re-entry ADR / RDR
16:50 - 17:00
Difficult re-entry RDR

Day 2

09:00 -
09:00 - 09:25
Review of cases 3 & 4 with index operators and panel, and introduction of cases 5 & 6
09:25 - 09:40
CTO and multi-vessel disease
09:40 - 11:30
Live cases - King's College London
11:30 - 11:45
Coffee break & breakout rooms
11:45 - 12:05
Optimum management of the post-CABG patient, what CTO skills have added?
12:05 - 12:20
Managing complications in the post-CABG patient
12:20 - 12:45
Does sub-intimal stent predict outcomes?

Panel discussion

12:45 - 14:00
Lunch & breakout sessions
14:00 - 14:20
Review of cases 5 & 6 with index operators and panel, and introduction of cases 7 & 8
14:20 - 14:45
Presentation of winning case competition
14:45 - 16:10
Live cases 7 & 8
16:10 -
16:10 - 16:30
OCT follow-up
16:30 - 17:00
Benchmarking practice / Data update

What (CTO) literature has changed my practice?

17:00 - Close
Live case review cases 7 & 8

CTOF 2017 Breakout Sessions

ETOSS Antegrade Wiring

ETOSS Antegrade Wiring

The ETOSS simulator allows operators to gain a live 360° view of their wire passage through a simulated occlusion segment. The characteristics and performance of different CTO wires and how these can be modified by the use of microcatheters provides an invaluable insight into antegrade wire-based techniques for CTO PCI.

Mentice CTO SIM

Mentice CTO SIM

The Mentice VR Simulator provides state of the art virtual reality simulation of complex angioplasty procedures. Newly developed simulations of CTO procedures allows delegates to practice using different CTO-specific wires and devices in a safe environment and to practice the recognition and management of common complications.

Retrograde Snaring

Retrograde Snaring

Using the AterioSim 3D-printed aorta, delegates will learn how to snare a retrograde RG3 wire using the EnSnare device. The transparent model enables direct visualization of the interaction between antegrade and retrograde guide catheters during wire externalization highlighting important safety considerations.

Retrograde Reverse Cart

Retrograde Reverse Cart

Around two thirds of all retrograde CTO PCI procedures will utilise the reverse CART process. Using our PCI simulator, delegates will develop a deeper understanding of this technique, how to trouble shoot its common failure modes and how to use the Guideliner to increase procedural success.

Meet the Experts

Bring your cases to CTOF17

Bring your Cases

Share your experience with your peers and experts. Difficult case? Prior failure?
Bring a CD to the World class MDT Sessions and discuss your case with world leading CTO operators.
1 hour/day, 10min/case
Cases on CD delivered at start of day.

Case competition at CTOF17

Case Competition

Faced the unusual? Found a novel solution? Recovered from a terrible complication?
Entries for case competition will be uploaded in advance as presentations with embedded video and judged by the faculty.
Three highest quality cases will win free registration; and the top case will receive a copy of the Antegrade PCI iBook.


Course Director

James C Spratt
James C. Spratt

An experienced interventional cardiologist with a sub-specialty interest in CTO PCI, I enjoy supporting physicians to learn and develop skills. I have a particular interest in CTO education and the integration of new technology.

Course Organising Committee

Colm Hanratty
Colm Hanratty

Colm has global experience in training physicians in complex and CTO PCI. He has performed live cases across the world and is published widely within the fields of CTO and complex PCI.

Simon Walsh
Simon Walsh

Simon has significant expertise in live cases and proctoring physicians within CTO and complex PCI. He has been a major contributor to the evidence within both these fields.

Alan Bagnall
Alan Bagnall

Alan is a consultant interventional cardiologist at the Freeman Hospital in Newcastle upon Tyne, UK. He is an author of several CTO publications and a major contributor to the UK Hybrid CTO and Recharge databases.

John Irving
John Irving

John is a consultant interventional cardiologist at Ninewells Hospital, Dundee, UK. He led the development of PCI in Dundee from the first PCI to a comprehensive service and was an early adopter of all aspects of the hybrid approach.

Live Case Director

Dr Jonathan Hill
Jonathan Hill

Jonathan Hill is a Consultant Interventional Cardiologist and Director of the Cardiac Catheter Labs at King's College Hospital, London.


UK Faculty

Dr. Margaret McEntegart
Margaret McEntegart
Glasgow, United Kingdom
Dr Andrew Lucking
Andrew Lucking
Oxford, United Kingdom
Contributor Image Dr E Smith
Elliot Smith
London, United Kingdom
Julian Strange
Julian Strange
Bristol, United Kingdom

International Faculty

Chris Buller
Chris Buller
Toronto, Canada
Evald Christiansen
Evald H Christiansen
Aarhus, Denmark
Dr Tony DeMartini
Tony DeMartini
Illinois, United States
Jo Dens
Jo Dens
Genk, Belgium
Christian Eek
Christian Eek
Oslo, Norway
Javier Escaned
Javier Escaned
Madrid, Spain
Dr Benjamin Faurie
Benjamin Faurie
Grenoble, France
Farrel Hellig
Farrel Hellig
Johannesburg, South Africa
Ulf Jenson
Ulf Jensen
Stockholm, Sweden
Risto Jussila
Risto Jussila
Dr Dimitri Karmpaliotis
Dimitri Karmpaliotis
NYC, United States
Paul Knaapen
Amsterdam, Netherlands
Dr Bill Lombardi
Bill Lombardi
Seattle, United States
Dr. Kambis Mashayekhi
Kambis Mashayekhi
Pascal Meier
Pascal Meier
Alex Nap - interventional cardiologist
Alex Nap
Amsterdam, Netherlands
Dr. Husam Noor
Husam Noor
Dr. Goren Olivecrona
Goren Olivecrona
Truls Ramunddal
Truls Ramunddal
Dr. Bernhard Reimers
Bernhard Reimers
Milan, Italy
Dr James Sapontis
James Sapontis
Dr Ling Tao, PhD, MD, China
Ling Tao
Xi'an, China
Masahisa Yamane
Masahisa Yamane
Saitama, Japan

CTO fundamentals, Live! delivers world-class CTO PCI in one of the most visited cities of the world.
Diverse and exciting, the city is steeped in history, and home to some of the world's most iconic landmarks.

Melia White House Hotel
Melia House Hotel

Albany St, London, NW1 3UP

View Website

Dorset Square
Dorset Square Hotel

39-40 Dorset Square, Marylebone, London, NW1 6QN

View Website

Park Plaza
Park Plaza Sherlock Holmes London

108 Baker St, Marylebone, London, W1U 6LJ

View Website

Thistle Euston Hotel
Thistle Euston Hotel

Cardington St, Kings Cross, London NW1 2LP

View Website

Radisson Blue
Radisson Blue Edwardian Bloomsbury St Hotel

9-13 Bloomsbury St, Fitzrovia, London WC1B 3QD

View Website

The above is a selection of nearby hotels, rather than a recommended list. The organisers cannot be held responsible for any booking made at the above hotels.



World class speakers, good mix of live cases and lectures.

The interactive nature of the cases was great.

Tailored for all comers.

Great live cases. Excellent faculty.

Excellent live cases and availability of presentations online.


In partnership with the Royal College of Physicians

In partnership with the Royal College of Physicians

CTO Fundamentals Live! will showcase the top CTO operators in the world, supplemented by a vastly experienced selection of physicians. This meeting will provide guidance on your learning curve, address common problems and offer hands-on opportunities.


Please register your interest in attending this course by filling out the form below.

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